The previous review of high-performance liquid chromatography (HPLC) in clinical chemistry appearing in the applications review of Analytical Chemistry (01) covered the area of HPLC separation methodologies, specifically reviewing the topic of direct injection techniques, which are techniques that allow direct injection of protein-containing samples (such as serum) onto HPLC columns. In this review, advances in packing materials are reviewed, specifically covering advances in base supports and reversed-phase packing materials that seek to address the problems encountered with conventional silica-based packing materials. These problems include limited stability, adverse